Individual
JONATHAN ADAM LANGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
203 W HILLSIDE RD, NAPERVILLE, IL 60540-6500
(630) 420-6311
Mailing address
2652 EMMA CIR, AURORA, IL 60504-7539
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056011863
IL
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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